VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1284009
Sex: F
Age: 62
State: VA

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codeine, morphine, e-myacin. Paragon forte

Symptom List: Dysphagia, Epiglottitis

Symptoms: Covid arm

Other Meds: Celebrex, synthroid, topamax,potossium, propanol,

Current Illness: None

ID: 1284010
Sex: F
Age: 53
State: IL

Vax Date: 04/01/2021
Onset Date: 04/14/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Cipro; Questran; Sulphur drugs; Steriods; Codiene; Strawberries; Pink eye shadow Mary Kay; Certain mascara

Symptom List: Anxiety, Dyspnoea

Symptoms: Hard Lump; Redness; Itching; Hot to touch; Lasted a couple of days

Other Meds: Fenofibrate; Lisinopril; Lutein-zeaxanthin oral; Metformin; Omeprazole; Rosuvistatin Vascepa; Vitamin D3; Co Q10

Current Illness: Walking pneumonia

ID: 1284011
Sex: M
Age: 29
State: CO

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Patient denied having any allergies to medications, food, or other products.

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: At 1809, patient returned to vaccination site as passenger of personal vehicle with complaint of tingling sensation throughout his body that lasted for about 5 minutes. Patient denied loss of consciousness. Patient had received Janssen vaccination to his left deltoid at 17:56. Patient had reported history of feeling near syncope to vaccinations. Patient?s level of consciousness, stroke scale, and vital signs were assessed. Patient was offered a call for emergency services on his behalf but patient denied emergency services. Patient stated that a mild tingling sensation continued on his left arm but that he did not feel any more tingling throughout his body at 18:10. At 18:14 patient stated that he wanted to continue to monitor himself at home and he was encouraged to call for emergency services if symptoms continued or worsened. Patient left as passenger of personal vehicle at 18:18 while his friend was driver of their vehicle.

Other Meds: Patient verbally denied using prescriptions, over the counter medications, herbal remedies, and drug use.

Current Illness: Patient denied any illnesses at time of vaccination.

ID: 1284012
Sex: M
Age: 46
State: CO

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: no known allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: For both the first dose and the second, I experienced belching that tasted very bad, watery diarrhea, gas, bloating, and abdominal cramps.

Other Meds: lisinopril, rosuvastatin, Adderall, Prozac, Bupropion, guanfacine, fish oil

Current Illness: none

ID: 1284013
Sex: M
Age: 34
State: VA

Vax Date: 04/08/2021
Onset Date: 04/17/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: On the morning of he 9th day after my first vaccine dose, my palms got intensely itchy. Over the course of the day, my body broke out in the worst hives of my life (including the palms of my hands and the soles of my feet). I had a blood test through a clinic which ruled out other possible diagnoses. Hives lasted approximately one week. It was terrible. But I still plan to get my second dose.

Other Meds: Only melatonin and fluticasone allergy spray

Current Illness: None

ID: 1284014
Sex: F
Age: 59
State: MN

Vax Date: 04/07/2021
Onset Date: 04/24/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: On about day 17 after the vaccination I started having pulsing (heartbeat type pulsing -tinnitus) in my right ear. I didn't make the connection that it could be related to the vaccine as I had no side effects after my shot. I didn't report it to my doctor as i thought it was just congestion or water in my ear. It was an annoying heavy pulsing but no ringing. It wasn't until I talked to a friend who had the same thing that we wondered if it could be related to the vaccine. Mine has quieted down as of today 05/03/21, though I still notice it from time to time. Just as I think it has gone away I will notice a few pulses in my ear. I saw an article about numbers of people having similar symptoms after their vaccinations and thought I should report it here.

Other Meds: Vitamin D, Calcium, Tylenol, Zyrtec

Current Illness: no illnesses. I have seasonal allergies and am taking Zyrtec

ID: 1284016
Sex: F
Age: 81
State: FL

Vax Date: 04/23/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient started to experience redness and itching near the injection site. Around the injection site, she started to feel a hard bump and warmness.

Other Meds: None that are known of.

Current Illness: None that are known of.

ID: 1284017
Sex: M
Age: 31
State: OH

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: codeine

Symptom List: Pharyngeal swelling

Symptoms: Complained of feeling dizzy and hot approximately 5 minutes after receiving the vaccine. As he was sitting down his head threw back, he stiffened, his eyes moved left to right, and he was not responding. The nurse and I immediately tried to lower him to the floor. While we were doing this he partly regained consciousness as another staff member called EMS. He was talking and answering questions when EMS arrived. They transported him to the hospital.

Other Meds: Terbinafine

Current Illness: unknown

ID: 1284018
Sex: F
Age: 30
State:

Vax Date: 03/15/2021
Onset Date: 04/19/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: First dose: Fatigue for 48 hours after Period came early by over a week Light period spotting constantly since Second dose: First 48 hours: Arm pain, fever, fatigue, chills Period spotting has continued, very light, but constant, even 2 weeks post second dose. Spotting has lasted near 6 weeks now. No spotting before vaccine was normal for me. Never had it before.

Other Meds:

Current Illness:

ID: 1284019
Sex: M
Age: 21
State: WA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: PT GOT SHOT NO PROBLEM , WAS SITTING FOR 15 MINUTE WAITING PERIOD, AT ABOUT 12 MINUTES IN PT PITCHED FORWARD FROM CHAIR AND FELL TO GROUND, MYSELF AND ASSISTANT RUSHED OUT TO HIM OUTSIDE OF PHARMACY, PT WAS ALREADY WAKING UP BY TIME WE GOT TO HIM, PUT PT IN RECOVERY POSITION, PT WAS ABLE TO SIT UP ON FLOOR A FEW MINUTES LATER, PT HAD ABRASION ON FOREHEAD FROM HITTING GROUND, AND FRONT TOOTH PUNCTURED LIP AS HE HIT THE FLOOR. PT WAS ABLE TO GET UP ONTO CHAIR AFTER SEVERAL MINUTES, PT THEN CALLED TO GET A RIDE HOME, I WALKED HIM OUT TO CAR ABOUT 30 MINUTES LATER AND PT THEN LEFT

Other Meds: NA

Current Illness: NA

ID: 1284020
Sex: F
Age: 43
State: WA

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Dairy, Onion, Metals, ALL STERIODS, Biaxcin, Zithromax, Contrast Dye

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Instant burning lungs for 12 hours with arm soreness, next day nerve pain in left leg (chronic back and S/I issue, weak leg), then on Thursday, 48 hrs later, left underarm lymph node swelled, left neck swelled and left half facial numbness. Friday, I called Dr, they transferred me to hospital nurse who insisted I see the dr immediately. Dr did neuro exam and decided since I have blood clot history to send me to ER for a scan. At ER, dr was unsure of what to do or why I was there and sent me home. They just did a basic blood panel before I ever saw the dr. Burning lungs returned on sunday morning and facial numbness increased.

Other Meds: Gabapentin, Fish oil, xyzal, Multivitamin, Joint Supplement, Biocidin, ADP Oregano, Magnesium,

Current Illness:

ID: 1284021
Sex: F
Age: 36
State: NJ

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None that I?m aware of

Symptom List: Rash, Urticaria

Symptoms: Since I had the shot I been experiencing warming in my chest, numbing on my face (left side) and difficulty breathing. I went to the hospital to be checked and nothing found but I?m still feeling the same way since receiving the shot

Other Meds: I was taking the DHerbs full body cleans and drinking bone broth

Current Illness: None

ID: 1284022
Sex: M
Age: 28
State: IN

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Fatigue, dizziness, and fever.

Other Meds:

Current Illness:

ID: 1284023
Sex: F
Age: 72
State: SC

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: The evening after receiving the first vaccine I began having tinges of pain in left side of abdomen. Worsened each day until the the 4th day a rash of welts broke out from my navel to middle of my back on my left side.

Other Meds: Metoprolol, aloroastatin, eliquis, levothyroxine, prolia, xidra, calcium, selenium, omega-3, vitamin D3, vitamin C, zinc.

Current Illness: None

ID: 1284024
Sex: F
Age: 27
State: PA

Vax Date: 04/23/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Red, raised rash at injection site a week after receiving it

Other Meds:

Current Illness:

ID: 1284026
Sex: F
Age: 24
State: AZ

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: n/a

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Pt started getting nauseous and did vomit a little bit after the vaccine. Her mother stated that this happens to her with every vaccine she receives.

Other Meds: n/a

Current Illness: n/a

ID: 1284027
Sex: F
Age: 48
State: MA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Vomiting the evening after shot, chills, temperature of 102.2 next day, fatigue, headache lasting 3 days (so far), COViD arm rash on left arm below injection site on third day

Other Meds: Claritin, biotin supplement, vitamin D3

Current Illness: None

ID: 1284028
Sex: F
Age: 68
State: WA

Vax Date: 03/09/2021
Onset Date: 04/11/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: No initial reactions on 1st or 2nd shot. One month later, awoke with severe vertigo; nauseia, total lathargic feeling This lasted all day. 2nd day, awoke with same but by afternoon felt fine. Days 3-4 same feeling each morning, but by afternoon no dizziness or weakness. Day 5 woke up feeling normal like the prior 4 days had not happened. Two weeks later, awoke with dizziness and again weak feeling. If tilted head back to look up it would bring me to my knees with dizzy feeling. Lasted all day, then the next day same dizziness when waking but by afternoon felt just fine. That time it only lasted 2 days.

Other Meds: Atenolol, Atorvastatin, calcium, D3

Current Illness: None

ID: 1284029
Sex: F
Age: 53
State: CO

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swollen face. Mostly on the left-side. Tingling around chin and lips. Face hurt to touch. Throat was tight and hard to swallow. Very tired, couldn't wake up. Symptoms started about 2 hours after the shot. Researched online but couldn't find anything regarding an allergic reaction, only severe reactions needing EpiPen. Went to bed, couldn't wake up. I called my doctor and he said there was no information regarding allergic reactions. He thought I had a sinus infection. My family sent me to the ER where the doctor said I had an allergic reaction. He prescribed prednisone. He told me to contact the CDC to find out if prednisone would counteract the portion of the vaccine I received, since prednisone will fight the infection and the vaccine gave me an infection.

Other Meds: None

Current Illness: None

ID: 1284030
Sex: M
Age: 29
State: CA

Vax Date: 04/15/2021
Onset Date: 04/19/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: I had brain fog starting on coming Monday after the shot (4 days) that got worse as my week progressed. I had extreme trouble focusing, felt an extreme amount of lethargy and felt weird in general. I felt confusion and disoriented in general and had trouble making decisions or doing anything. The symptoms gradually went away 2-3 weeks later but I am not quite sure if I have recovered to the previous cognitive state because I still get zoned out.

Other Meds:

Current Illness:

ID: 1284031
Sex: M
Age: 32
State: CO

Vax Date: 04/26/2021
Onset Date: 05/05/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Chest tightness, chest pressure, left chest side pain, shortness of breath, lump in throat, dry mouth

Other Meds: Ibuprofen as needed

Current Illness: None known

ID: 1284032
Sex: F
Age: 74
State: WA

Vax Date: 03/01/2021
Onset Date: 04/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sensitive to most meds/Abalone

Symptom List: Unevaluable event

Symptoms: Approximately 1-2 weeks following my first vaccine I had an episode of Vertigo that effected my balance when I got up in middle of the night to use the bathroom. I did not experience any additional symptoms and fell back to sleep. Last night around 7:30pm I was sitting up in bed and all of a sudden I had what I would descrbe as vertigo and felt nauseated. I turned on my side where I felt better but I fjust felt unwell. I also had a rapid pulse at the same time. I was OK as long as I did not move. That continued for about 3-4 hours. Approximtely 20 years ago I had the same issue once was seen in an emergency room. I was diagnosed at that time with menieres and was given a prescription or two.

Other Meds: Losartan/Fish Oil/Vit D 400IU

Current Illness:

ID: 1284033
Sex: M
Age: 46
State: WI

Vax Date: 04/06/2021
Onset Date: 04/21/2021
Rec V Date: 05/03/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: transverse myelitis - potentially related to immunosuppression from Humira, the herpes simplex virus or the vaccine (or combination of all 3). Sx included areflexia, bilateral paresthesia (legs and feet), double vision, cord damage from cervical region to conus of the cord. Also developed urinary retention.

Other Meds: Humira

Current Illness: Cold sores

ID: 1284034
Sex: F
Age: 38
State: NC

Vax Date: 04/03/2021
Onset Date: 04/08/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Abnormal menstrual bleeding three different days before period started; intermittent headaches and dizziness for 3 weeks after vaccine.

Other Meds: Birth control - Sprintec

Current Illness: None

ID: 1284035
Sex: F
Age: 16
State: IL

Vax Date: 04/27/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: lanolin

Symptom List: Injection site pain, Menorrhagia

Symptoms: My daughter developed a rash to her inner arms, inner legs, and hands. Warm to touch. Raised rough textured rash. The skin that is affected is swollen. Benadryl taken orally did not help decrease the rash, nor did topical Benadryl. She also complains of pain to her left leg from her hip to her knee that intermittently bothers her starting 4/30 and still continues to bother her. The day after the vaccine was given she had injection site pain, tiredness, extreme headache, fever of 101.8, nausea, chills, body aches. No swelling or redness to injection site. No lymph node swelling.

Other Meds: none

Current Illness: none

ID: 1284036
Sex: F
Age: 48
State: WA

Vax Date: 03/19/2021
Onset Date: 04/06/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Post menopausal bleeding

Other Meds: Wellbutrin Armour Thyroid Zolpidem

Current Illness:

ID: 1284037
Sex: F
Age: 33
State:

Vax Date: 04/19/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Very early menstrual cycle (about 10 days earlier than normal). Stronger cramps, heavy flow. Cramps, pain, discomfort.

Other Meds:

Current Illness:

ID: 1284039
Sex: M
Age: 69
State: WA

Vax Date: 01/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: tetracycline

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Diagnosed with Bell's Palsy, left side of face, 4/25/2021. Started at 0600, diagnosed 21 hours later. Had chest X-ray, electrocardiogram, blood work, MRI. Not a stroke. treated with prednisone and valacyclovir. after 6 days, the palsy has not cleared up. Immediately after both COVID shots (1/26/21 & 2/26/21) had only minor effects, sore arm. no fever,

Other Meds: Amlodopine, benedryl, omeprazole, simvastatin, fish oil, flax, coQ10

Current Illness: none

ID: 1284040
Sex: F
Age: 37
State: NC

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none reported

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: shot administered 13:20. within 10 minutes, pt reported itchy throat & was given bottle of water. pt was given benadryl 25mg at 13:45, symptoms did not improve. pt reported feeling of a growing lump in her throat. epi-pen was given at 14:00. medic responded. pt given additional 25 mg benadryl and released to medic. 911 was not called

Other Meds: none reported

Current Illness: none reported

ID: 1284041
Sex: F
Age: 31
State:

Vax Date: 04/25/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Morphine

Symptom List: Nausea

Symptoms: Late period. As of today, period is 6 days late. Negative pregnancy tests.

Other Meds: Vitamins C & D, prenatal vitamin

Current Illness: None

ID: 1284042
Sex: F
Age: 39
State:

Vax Date: 04/30/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: 99.8 F fever, strong headaches, body aches within 24 hours after the vaccine was administered heavier-than-usual bleeding (with big lumps of blood 2-3 times a day) three days after the vaccine was administered, headaches continued through day three

Other Meds: low dose aspirin, leuprolide acetate, prenatal vitamin

Current Illness: None

ID: 1284043
Sex: F
Age: 52
State: MA

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Ibuprofen, penicillin, sulfur containing medicines, egg whites, soy protein, OJ, Hazelnuts, Strawberries

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Had a hard time sleeping, woke up very early Sunday morning with pain at injection point. Took tylenol. Developed joint aches and pains during the day and was extremely tired. On Monday woke up with swelling around the eyes and face was noticeably red. Eventually took Benadryl at 11:30 am. By 2:30 pm had to take a nap (very unusual for me). Rash continued to spread to my chest. Called the doctor at 5 pm. He told me to take more Benadryl, which I did at 6 pm. Still feel ichy with red rash on face and chest as I write this at 10 pm.

Other Meds: none

Current Illness: none

ID: 1284044
Sex: F
Age: 42
State: IN

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: I experienced tachycardia with a HR of 120-130 and then my HR would increase to low 150's with light walking. I noticed it about 25 minutes after receiving vaccine. It seemed to subside about an hour following the vaccine injection. HR went back down to what my normal HR is 70-80's. I did not have any other symptoms and I feel fine now.

Other Meds: N/A

Current Illness: N/A

ID: 1284045
Sex: F
Age: 21
State: IN

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: augmentin

Symptom List: Tremor

Symptoms: After waiting for 15 minutes after the vaccination, the patient and her mother returned to the pharmacy. The patient had a heavy feeling in her chest and it felt like a lump in her throat. She was not having trouble breathing. I had her sit down next to her mother to monitor further. After about 5 more minutes, she felt like her symptoms were getting worse. She stated that she was feeling cold and shivering. I had her lay on the floor. I had my technician call 911. I stayed next to her to monitor. I had her also sit up to drink some water. She complained of her jaw starting to hurt and her head was throbbing. The paramedics arrived shortly after.

Other Meds: unknown

Current Illness: fibromyalgia, celiac disease

ID: 1284046
Sex: F
Age: 38
State: CO

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: A rash ring around my neck broke out about a week after the first vaccine and exploded all over my upper back after the second. It?s not been resolved since, 5 months later. It?s traveled around my body but primarily on my trunk. I?ve tried everything including prescription steroids.

Other Meds: Lexapro

Current Illness: None

ID: 1284047
Sex: F
Age: 48
State: MI

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: Allergic to nickel and animal lard. Reaction is hives in both cases.

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Tinnitus - increasingly persistent.

Other Meds: Vitamin B12, Vitamin E capsules, Vitamin C

Current Illness: None.

ID: 1284048
Sex: M
Age: 23
State: NC

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none reported

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: pt given shot at 14:10. at 2:16, pt was observed mid-faint (vasovagal syncope). pt was given bottle of water & ice pack for back of the neck (it was only slightly warm in the room, but he was clammy). pt reported the "curtain coming down" with hearing loss and tingly and was aware of faint, as he spilled the contents of his 1st bottle of water. pt's bp taken 118/78. pt reported his norm usually 125/85. pt was observed for an additional 35-40 minutes. syx resolved spontaneously, and pt released but cautioned about operating machinery & what further syx to look for. pt returned to clinic 3 days later to say hello and mentioned persistent nausea & extreme fatigue ("like deep in my bones"), for which he had visited PCP in the interim.

Other Meds: none reported

Current Illness: none reported

ID: 1284049
Sex: M
Age: 76
State: TN

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no known allergies mentioned

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient left the pharmacy area and when to check out his groceries. While in line, the patient became dizzy and started sweating profusely. The cashier got him a chair so he could sit down. She gave him a cold water and some candy. I came over and asked him about low blood sugar and if he had eaten since I knew he was a diabetic. He sat in the chair for about 20 to 25 minutes. after he drank the water and ate the candy, i did a blood pressure reading, a temperature reading, and a blood glucose reading. The patient was able to leave and drive home after eating the candy and drinking the water.

Other Meds: patient says he is on insulins and is a diabetic

Current Illness: patient is a diabetic

ID: 1284050
Sex: F
Age: 30
State: OK

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: N/a

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: I have not had a menstrual cycle since February 18th. I have also experienced heightened pms symptoms and muscle aches and pains.

Other Meds: Benadryl and colnazapaem.

Current Illness: N/a

ID: 1284051
Sex: F
Age: 29
State:

Vax Date: 05/02/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Woke up in the middle of the night to use the restroom after feeling dizzy had a syncopal episode woke up on the floor with a large hematoma over right eye

Other Meds: None

Current Illness:

ID: 1284052
Sex: F
Age: 70
State: OK

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: pollen and mold

Symptom List: Pain in extremity

Symptoms: At 5:00 AM, 18 hours after the initial injection, immediate onset of brutal exhuastion, chills, fever, aches in every joint, muscle aches, and tendonitis behind the left knee, intense all over headache plus unpredictable stabbing headaches. Took plain aspirin and a Delta 8 and slept under an electric blanket turned up to high. (the room was not cold, but the chills/fever were that bad). Around 12 hours later, awake with most lingering headache and body ache and the tendonitis persisted behind the left knee. 12 hours later, vomited once, and the rest of the symptoms faded, leaving only the exhaustion. At this point 03/05 at 9 PM all symptoms gone but the exhaustion.

Other Meds: ESTRADIOL. CBD. DELTA-8

Current Illness: none

ID: 1284053
Sex: F
Age: 17
State: NC

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: This customer was given the 2nd dose of vaccine 7 days early. I tried to contact this customer at least 5 times but one phone # said voice mail is not set up and the other said the number has been changed. No calls from this customer received or any report from her of any serious or minor adverse event from this vaccination.

Other Meds: unknown

Current Illness:

ID: 1284054
Sex: F
Age: 50
State: CA

Vax Date: 04/21/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Rash to injection site as well as hands, feet, and thighs.

Other Meds: Denies

Current Illness: Denies

ID: 1284056
Sex: F
Age: 35
State: IA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: dizziness/vertigo

Other Meds:

Current Illness:

ID: 1284057
Sex: F
Age: 30
State: WA

Vax Date: 03/21/2021
Onset Date: 04/09/2021
Rec V Date: 05/03/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: I was pregnant at the time of vaccination (on March 21, 2021). Estimated due date (spring). There were no complications and it was a very low risk pregnancy. At approximately 37 weeks pregnant, I developed pre-eclampsia with HELLP syndrome. No prior blood pressure issues in my life or during my pregnancy. I was treated for pre-eclampsia by being induced at 37 weeks on spring of 2021. Baby birthed with normal birth weight. Mom and Baby both doing very well now!

Other Meds: Over-the-counter (OTC) Fish oil tablets OTC Pre-natal vitamins OTC Metamucil

Current Illness: None

ID: 1284240
Sex: F
Age: 52
State: MD

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Headache, fever, chills, fatigue, elevated blood pressure and rapid heartbeat. I noticed rapid heartbeat due to fitness tracker so I took my blood pressure around 2:00 and my monitor would not read it, which means it was way too high. I took an extra dose of HCZT and contacted my cardiologist. He told me to take Tylenol for pain and fever and if BP didn't come down after extra HCZT, I could take another lisinopril (20 mg). Pressure came down within an hour and Tylenol helped the pain and fever. All symptoms were gone by morning. PLEASE NOTE - I RECOVERED FROM COVID 19 IN JANUARY 2021; my blood pressure went up then also.

Other Meds: Blood Pressure meds (Toporal, Lisinopril, HCZT) Low dose aspirin Vitamin D Iron Multivitamin

Current Illness: none

ID: 1284241
Sex: F
Age: 47
State: FL

Vax Date: 01/12/2021
Onset Date: 01/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Sudden onset knee pain/inflammation/diving way and clicking (no injury) Hypothyroid flare up (elevated TSH, no sleep, constipation, brain fog) Slowing down/late ne striating

Other Meds: Synthroid 175 mcg Multi vitamin Probiotic Magnesium Zinc

Current Illness: None

ID: 1284242
Sex: F
Age: 65
State: WA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Event happened during clinic. The patient said "yes" to my question of "is this your 1st dose?", therefore, I vaccinated her with the Pfizer vaccine, acknowledging that this would be her 1st dose of covid vaccine. The patient did not present her vaccine card nor told anyone about her 1st shot. Then, in the process of vaccinating her husband, their son who was sitting right next to the husband but further away from the mom, overheard and mentioned that they actually received the 1st dose of EstraZeneca in India around 50 days ago. This was after the patient was already vaccinated with the Pfizer. The son explained that this happened because the patient did not speak English very well and probably answered my question without fully understanding. Other pharmacists at the clinic including Bahador, who volunteered to be the witness of this event, all heard the son saying that this was because his mom did not speak good English and I clearly verified if this would be her 1st dose. We did not vaccinate the husband nor the son, and still had the mom who was vaccinated stay 15 minutes. The patient left the clinic after 15 minutes with no adverse events or any complaints.

Other Meds: none

Current Illness: none

ID: 1284243
Sex: F
Age: 68
State: IL

Vax Date: 03/11/2021
Onset Date: 04/15/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Compazine, indocin, nubain, quinidine, sodium pentothal

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Chills, sweats, severe headache and backache, nausea

Other Meds: Celexa,metoprolol, vitamin D, pantoprazole, creator, buspar, IVIG

Current Illness: Chronic lymphocytic leukemia, hypogammaglobulinemia

ID: 1284244
Sex: F
Age: 62
State: OR

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Patient scheduled and came to the pharmacy to receive second dose of Moderna vaccine. First dose was given at health vaccination site earlier (April 10, 2021). Vaccinating pharmacist reviewed state IIS system prior to administration of the vaccine to verify that Moderna vaccine had been given for the first vaccination. However, the exact date had not been noticed prior to vaccine administration. After administration it was determined that 23 days rather than the 24 day minimum interval had lapsed.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm